| Aaron Dean Glenn, | |
|
26136 Us Highway 59, Fairfax, MO 64446-9105 | |
| (660) 686-2211 | |
| (660) 686-2618 |
| Full Name | Aaron Dean Glenn |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 26136 Us Highway 59, Fairfax, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972061612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2019007056 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur County Hospital | Leon, IA | Hospital |
| Ringgold County Hospital | Mount ayr, IA | Hospital |
| Clarke County Hospital | Osceola, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarke County Public Hospital | 1951219328 | 32 |
| Ringgold County Hospital | 7315849973 | 22 |
| Decatur County Hospital | 9739085754 | 9 |
| Entity Name | Knoxville Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770591661 PECOS PAC ID: 6608787056 Enrollment ID: O20031119000804 |
| Entity Name | Madison County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093929390 PECOS PAC ID: 6002727179 Enrollment ID: O20031126000714 |
| Entity Name | Decatur County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144209255 PECOS PAC ID: 9739085754 Enrollment ID: O20031210000758 |
| Entity Name | Cass County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681 |
| Entity Name | Ringgold County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700935202 PECOS PAC ID: 7315849973 Enrollment ID: O20040123000414 |
| Entity Name | Clarke County Public Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023045804 PECOS PAC ID: 1951219328 Enrollment ID: O20040224000636 |
| Entity Name | Monroe County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245469378 PECOS PAC ID: 1759299217 Enrollment ID: O20040316001275 |
| Entity Name | Lucas County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588636351 PECOS PAC ID: 8921916792 Enrollment ID: O20040317001356 |
| Entity Name | Davis County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487740486 PECOS PAC ID: 3971493040 Enrollment ID: O20040319001367 |
| Entity Name | Adair County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366531345 PECOS PAC ID: 3072403153 Enrollment ID: O20040319001441 |
| Entity Name | Clarke County Public Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114954997 PECOS PAC ID: 1951219328 Enrollment ID: O20061104000094 |
| Entity Name | Avera Holy Family |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1508810177 PECOS PAC ID: 7113837428 Enrollment ID: O20061104000150 |
| Entity Name | Madison County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1831104611 PECOS PAC ID: 6002727179 Enrollment ID: O20061104000214 |
| Entity Name | Ringgold County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811046568 PECOS PAC ID: 7315849973 Enrollment ID: O20070116000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Dean Glenn, 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 | Aaron Dean Glenn, 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 |
Rebecca Heits, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Jessica Bowman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Ms. Allison Godchaux, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 E Main St, Fairfax, MO 64446 Phone: 660-686-2211 | |
Theresa Lee Crawford, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Hwy 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2522 | |
Katrina Renee Lock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Miss Melissa Sue Masonbrink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Ms. Condra M Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 |